Phillip March 26, 2024 No Comments

EB005 Evidence-Based Decision Making

EB005 Evidence-Based Decision Making Name  University NURS 6052 Essentials of Evidence-Based Practice Prof. Name Date Evidence-Based Decision Making in Health Care Settings In contemporary healthcare management, evidence-based decision making plays a pivotal role in ensuring quality care delivery while optimizing resource allocation. This approach relies on the integration of rigorous scientific evidence with practitioner expertise and patient preferences to inform managerial strategies and policies (Savage, 2011). NURS 6052 Assessment 5 EB005 Evidence-Based Decision Making Key Concepts Evidence-based management in healthcare encompasses the systematic identification, appraisal, and application of the best available evidence to address managerial challenges and improve organizational performance (Pfeffer & Sutton, 2006). It involves translating research findings into actionable insights that guide decision making across various domains, such as clinical practice, administrative processes, and resource allocation (Shortell, Rundall, & Hsu, 2007). Challenges and Opportunities Despite its potential benefits, evidence-based decision making faces several challenges, including the complexity of healthcare environments, the diverse needs of stakeholders, and the limitations of available evidence (Rousseau, 2006). However, ongoing efforts to enhance research dissemination, promote knowledge translation, and foster interdisciplinary collaborations offer opportunities to overcome these barriers and advance evidence-based management practices (Mitton et al., 2007). Implications for Practice Healthcare managers must adopt a systematic approach to evidence-based decision making, involving the formulation of clear research questions, the critical appraisal of evidence, and the implementation of findings into practice (Kitson, Harvey, & McCormack, 1998). By fostering a culture of continuous learning and improvement, organizations can optimize patient outcomes, enhance operational efficiency, and achieve sustainable healthcare delivery (Walshe & Rundall, 2001). Conclusion In conclusion, evidence-based decision making is essential for driving innovation, improving quality, and maximizing the value of healthcare services. By integrating scientific evidence with managerial expertise, healthcare leaders can navigate complex challenges, optimize resource allocation, and ultimately, enhance patient care delivery. References Alexander, J. A., Hearld, L. R., Jiang, H. J., & Fraser, I. (2007). Increasing the relevance of research to health care managers: Hospital CEO imperatives for improving quality and lowering costs. Health Care Management Review, 32(2), 150–159. Amara, N., Ouimet, M., & Landry, R. (2004). New evidence on instrumental, conceptual, and symbolic utilization of university research in government agencies. Science Communication, 26(1), 75–106. Aram, J. D., & Salipante, P. F. (2003). Bridging scholarship in management: Epistemological reflections. British Management Journal, 14(3), 189–205. Axelsson, R. (1998). Towards an evidence-based health care management. International Journal of Health Planning and Management, 13, 307–317. Barnsley, J., Berta, W., Cockerill, R., MacPhail, J., & Vayda, E. (2005). Identifying performance indicators for primary care practices: A consensus process. Canadian Family Physician, 51(5), 700–701. Beyer, J. M., & Trice, H. M. (1982). The utilization process: A conceptual framework and synthesis of empirical findings. Administrative Science Quarterly, 27, 591–622. D’Agostino, R. B., & Kwan, H. (1995). Measuring effectiveness: What to expect without a randomized control group. Medical Care, 33(4), AS95–AS105. Davis, D., Evans, M., Jadad, A., Perrier, L., Rath, D., Ryan, D., & Zwarenstein, M. (2003). The case for knowledge translation: Shortening the journey from evidence to effect. BMJ, 327, 33–35. NURS 6052 Assessment 5 EB005 Evidence-Based Decision Making

Phillip January 25, 2024 No Comments

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement

NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement Name Capella university NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Prof. Name Date PRESENTATION OUTLINE Medication or Drug Error as a Patient Safety Issue at Healthy Elite Metropolitan Medical Center Objectives: Identify internal practices necessitating change to address medication errors. Determine organizational priorities in addressing medical errors. Develop interventions and a Quality Improvement Project. PATIENT SAFETY ISSUE: Medication/Drug Errors Medication errors rank as the third leading cause of death in the United States (Ferrah et al., 2017). One in seven patients in healthcare organizations falls victim to medication errors. Key medical errors include technical errors, delayed diagnosis, medication errors, inadequate post-procedure monitoring, and failure to act on test results. PATIENT SAFETY ISSUE: Medication Error at Healthy Elite Metropolitan Medical Center Medication errors attributed to poor communication, administration of incorrect dosages, negligence by healthcare staff, and electronic medical record failures. INTERNAL EVIDENCE OF MEDICATION/DRUG ERROR Medication errors at Health Elite Metropolitan Medical Center contribute to increased lawsuits, patient deaths, and healthcare service costs. The organization incurred a loss of over $17.4 million in lawsuits within the last 12 months. Medication errors resulted in the layoff of over 20 healthcare workers, impacting healthcare service delivery. INTERNAL EVIDENCE OF MEDICATION/DRUG ERROR Timeframe Number of Patients Involved Rate of Readmission Within 12 months 40 – Within 4 weeks 15 – Within 8 weeks 13 – EXTERNAL EVIDENCE OF MEDICATION/DRUG ERROR Medication errors are a common patient safety concern globally (Mulac et al., 2021; Ferrah et al., 2017). Research indicates a 19% prevalence of medication errors in over 36 US healthcare organizations (Mulac et al., 2021). Causes include unauthorized medication administration (4%), omission errors (43%), and wrong dosage administration (17%). ORGANIZATIONAL PRIORITY FOR INTERVENTION Medication/drug errors significantly impact patient health, organizational operations, and community health. Consequences include severe physical, emotional, and psychological injuries, financial burdens, reduced community trust, and potential caregiver shortages. Creating awareness among patients can reduce errors, and community concern arises from loss of loved ones and caregiver shortages. QUALITY IMPROVEMENT PROJECT AND PATIENT OUTCOME Quality improvement interventions: Development of a verification system for medication prescriptions. Use of barcodes. Creating awareness about counterchecking lookalike drugs. Implementing an effective medication error warning system. Encouraging interdisciplinary collaboration. REFERENCES Ferrah, N., Lovell, J. J., & Ibrahim, J. E. (2017). Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents. Journal of the American Geriatrics Society, 65(2), 433-442. Hines, S., Kynoch, K., & Khalil, H. (2018). Effectiveness of interventions to prevent medication errors: an umbrella systematic review protocol. JBI Evidence Synthesis, 16(2), 291-296. Mulac, A., Taxis, K., Hagesaether, E., & Granas, A. G. (2021). Severe and fatal medication errors in hospitals: findings from the Norwegian Incident Reporting System. European Journal of Hospital Pharmacy, 28(e1), e56-e61. Wheeler, A. J., Scahill, S., Hopcroft, D., & Stapleton, H. (2018). Reducing medication errors at transitions of care is everyone’s business. Australian prescriber, 41(3), 73. NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement

Phillip October 7, 2023 No Comments

NURS FPX 6414 Assessment 1 Conference Poster Presentation

NURS FPX 6414 Assessment 1 Conference Poster Presentation Student Name Capella University NURS-FPX 6414 Advancing Health Care Through Data Mining Prof. Name Date Abstract Healthcare professionals strive to enhance care delivery to improve patient outcomes, with a key focus on prioritizing and maintaining patient safety. Falls are the leading cause of unintentional mortality among individuals aged 65 and older in the United States (CDC, 2020), resulting in approximately 2.8 million elderly individuals seeking emergency room treatment annually (CDC, 2020). Several factors, such as confusion, mobility limitations, and urgent toileting needs, contribute to the increased risk of falls among the elderly, both in and out of hospital settings (LeLaurin & Shorr, 2019). In the hospital, between 700,000 and 1 million patients experience falls each year (LeLaurin & Shorr, 2019), with an incidence rate ranging from 3.5 to 9.5 falls per 1000 bed days (LeLaurin & Shorr, 2019). Galet et al. (2018) conducted a study involving 931 patients, identifying 633 individuals at the highest risk of falls due to mental or physical impairments and incontinence. The occurrence of a single fall can prolong a patient’s hospital stay. To mitigate the risk of falls, OhioHealth’s informatics team developed the Schmid tool (Lee et al., 2019) to identify high-risk individuals and implement appropriate preventive measures. The Schmid tool assesses various factors, including mobility, mental status, toileting abilities, history of falls, and current medications. This study aims to evaluate the Schmid tool’s effectiveness in enhancing patient safety and overall healthcare outcomes by utilizing data in conjunction with informatics models. Introduction Annually, approximately 2.8 million adults seek emergency department care for fall-related injuries (LeLaurin & Shorr, 2019). Hospitalized patients also face a significant risk of falling, with between 700,000 and 1 million falls occurring each year (LeLaurin & Shorr, 2019). Falls contribute to extended hospital stays, leading to increased healthcare costs. The Schmid tool is utilized to identify patients at high risk of falls by considering factors such as mobility, mental status, toileting abilities, history of falls, and medications. Evaluating the Schmid tool’s effectiveness is essential to enhance patient safety and healthcare outcomes. Analyzing the Use of the Informatics Model The Schmid fall risk scale categorizes a patient’s fall risk into four main categories: mobility, cognition, toileting abilities, and medication usage (Amundsen et al., 2020). Mobility includes four subcategories: mobile (0), mobile with assistance (1), unstable (1b), and immobile (0a). Cognition is assessed as alert (0), occasionally confused (1a), always confused (1b), or unresponsive (0b). Toileting abilities are classified as completely independent (0a), independent with frequency (1a), requiring assistance (1b), or incontinent (1c). Finally, medication usage is categorized into various medications such as anticonvulsants (1a), psychotropics (1b), tranquilizers (1c), hypnotics (1d), or none (0) (Amundsen et al., 2020). Literature Review Despite a gradual decline, in-hospital falls remain a significant concern for healthcare institutions, as they are a leading cause of harm to patients. Patients suffer increased injury and fatality rates, leading to a diminished quality of life, while healthcare providers face rising expenses due to prolonged hospital stays and medical care costs. Since 2008, Medicare and Medicaid no longer cover fall-related injuries for hospitalization reimbursement (LeLaurin & Shorr, 2019). Hospitals must take preventive measures to reduce patient falls due to the substantial financial burden they impose. Recent studies indicate an alarming trend of readmissions among older patients with traumatic injuries, such as falls, highlighting the need for social support networks and fall prevention initiatives for the elderly (Galet et al., 2018). Falls are the primary cause of injury and mortality among individuals aged 65 and older in the United States (CDC, 2020), emphasizing the importance of fall prevention strategies. Conclusion The comprehensive approach outlined in this study demonstrates the potential to reduce hospital falls. Previous research has identified falls as the leading cause of death in the United States. By employing the informatics model throughout the development of the Schmid tool for quality improvement, this study observed a significant reduction in the incidence of falls.

Phillip October 6, 2023 No Comments

NURS FPX 5003 Assessment 2 Interview Of Health Care Professional

NURS FPX 5003 Assessment 2 Interview Of Health Care Professional Student Name Capella University NURS-FPX 5003 Health Assessment and Promotion for Disease Prevention in Population-Focused Health Prof. Name Date Interview with a Healthcare Professional Conducting interviews with healthcare experts is a valuable and informative approach to gain insights into the diverse populations served by healthcare organizations and their healthcare needs. By combining healthcare data with the real-world experiences of healthcare professionals, more effective strategies and plans can be developed. Understanding how healthcare professionals typically communicate with patients, especially those from racially and ethnically diverse backgrounds, is essential to provide them with adequate health information for informed decision-making.  Additionally, healthcare professionals can contribute to the development of best practices by observing the work of industry leaders. Implementation of best practices ensures compliance with relevant standards and healthcare guidelines. For this review, Dr. Mud Swamp, overseeing West Virginia College’s schools of dentistry, medicine, nursing, pharmacy, public health, and various affiliated health programs and clinical initiatives throughout the state, was interviewed. Dr. Swamp earned a Bachelor of Science degree and a medical degree from West Virginia College (West Virginia College, n.d). Strategies for Addressing Identified Healthcare Needs Various strategies can be employed to identify the healthcare needs of a community, including interviews with healthcare professionals and community leaders, stakeholder meetings, surveys, and demographic data analysis. According to Aron (2019), the Plan-Do-Study-Act (PDSA) cycle is a powerful tool for accelerating organizational improvement. In clinical settings, the PDSA cycle is used to assess the quality of care and determine if improvements or changes are necessary. An external evaluator can assist organizations in planning and implementing changes and then assessing their success.  Healthcare disparities, such as providing lower-quality care to sexual, ethnic, and gender minorities and individuals with low health literacy, persist in the United States (NHS England and NHS Improvement, 2021). The Cultural and Linguistically Appropriate Services (CLAS) standards were introduced in 2000 to address these disparities. In 2013, enhanced National CLAS standards were introduced to help healthcare organizations ensure health equity, with a focus on minority groups with low health literacy. Providing CLAS requires cultural humility and competence at the provider level (Minority Health, n.d.). Criteria for Evaluating the Strategies To evaluate the effectiveness of strategies, program organizers should consider questions such as “What achievements has the organization made during this period?” “How many diabetic patients were served?” and “What challenges positively influenced program implementation?” As Dineen-Griffin et al. (2019) suggest, healthcare organizations can either hire an external evaluator or assign an internal staff member to evaluate the efficiency and effectiveness of healthcare systems for future decision-making. The Organization for Economic Co-operation and Development (OECD) DAC defines six evaluation criteria: relevance, soundness, effectiveness, efficiency, impact, and sustainability, along with two principles for their application (Alcayna and O’Donnell, 2022). According to the interview, West Virginia College hospitals employ various methods to provide Culturally and Linguistically Appropriate Services (CLAS) to diabetic patients. The organization uses a patient-centered communication style and addresses cultural barriers to care. To ensure effective interactions between a proactive care team and informed, engaged patients, care aligns with elements of the Chronic Care Model (Timpel et al., 2020). NURS FPX 5003 Assessment 2 Interview Of Health Care Professional Healthcare professionals can influence and engage the healthcare team, patients, and communities through various communication methods, including groups, face-to-face meetings, campaigns, and surveys (Gehlert et al., 2019). Patient outcomes can be improved by effectively communicating complex health information to diverse patient populations. For instance, it is more effective to convey to diabetic patients that maintaining a specific blood glucose level is crucial to reduce their risk of amputation and future complications related to kidneys and nerves, rather than simply instructing them to keep a specific blood glucose level. By gaining a deeper understanding of populations with low health literacy, the challenges associated with communicating with at-risk populations, and evidence-based best practices, healthcare providers can develop a framework to enhance health education. Benefits of Adhering to National CLAS Standards The National CLAS Standards create a framework for delivering services that respect patients’ preferences and communication needs while being culturally and linguistically appropriate. These standards can improve the ability to work and communicate effectively in multicultural settings, ultimately contributing to reducing healthcare disparities and achieving health equity. They help healthcare professionals learn from patients with different perspectives and beliefs, remain open to patients’ thoughts, and connect with their backgrounds (Annalee A, 2022). Epidemiological principles form the basis for disease surveillance and analysis by public health professionals. They focus on the causes of public health problems and diseases and the best treatments, interventions, and solutions. Epidemiologists can track diseases and predict their impact on the population through research and statistical analysis. It provides insight into how demographic characteristics can be used to identify groups at risk for a particular outcome. Demographic characteristics often include age, economic status, gender, and race/ethnicity. The primary task of epidemiology is to describe the occurrence of diseases and note differences in disease occurrence among different groups. To assess this disease burden, epidemiologically specific terms such as frequency, expected impact, and survival measures are required (Harvard Medical School, 2022). Organization’s Strengths in Addressing National CLAS Standards The West Virginia College hospital’s commitment to implementing and adhering to the National CLAS Standards has led to significant efforts to address healthcare disparities and meet the needs of vulnerable populations, such as the African American community. Successful implementation of the National CLAS Standards requires organizational commitment. The National CLAS Standards have contributed to raising awareness of the need for culturally and linguistically appropriate services (U.S. Department of Health & Human Services, 2022). By setting an example for healthcare organizations, the National CLAS Standards aim to advance clinical prevention and help eliminate healthcare disparities. NURS FPX 5003 Assessment 2 Interview Of Health Care Professional The gap between recommended healthcare best practices and the care provided to patients is known as a healthcare gap. If staff fail to adhere to any of the key aspects of the CLAS

Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 4 Advocating for Lasting Change

NURS FPX 6218 Assessment 4 Advocating for Lasting Change Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Advocating for Lasting Change Hello everyone, welcome to this presentation on Advocating for Lasting Change, where I will discuss the significant health issues faced by the Jordan community, deteriorating their health badly. The health issues comprised mental health irregularities among school-going youngsters, lack of health insurance, and ill management of chronic health conditions.  In this presentation, I highlight the pressing need for a healthcare change proposal based on substantial data that can address these health concerns. This change proposal will improve mental health among children and young adolescents, enhance health insurance coverage, and manage chronic diseases for low-income people by utilizing governmental policy on free treatment for people with pre-existing conditions like chronic health diseases.  Target Role Groups or Stakeholders This presentation targets specific stakeholders and role groups that can contribute towards this cause of improving the Jordan community’s health outcomes: Policymakers: Your contributions in advocating this change proposal plan can support us in achieving our goal through developing and implementing fruitful health policies. Governmental Organizations and Non-Profit Organizations: Your expanded health policy programs, resources, and services can effectively almiliorate the community’s health and help us accomplish our objectives. Healthcare professionals: Your constant efforts to improve patients’ health will be highly demanding in providing mental health support and managing chronic diseases and relevant health problems. Community Leaders and Advocates for Change: Your unwavering support and advocacy for improved health within the community is crucial in driving the change proposal program and turning it into reality through consistent efforts. School Institutions: Your collaboration and support in promoting mental well-being among students will be highly valued to foster an institution where youngsters are mentally safeguarded from evil thoughts that can take a toll on their health. Through unions for similar causes, we can cultivate a community where priority is population’s health. Therefore, the contributions of each role group are essential to implement our change proposal plan effectively. Brief Overview of Environmental Analysis of Jordan Community Through Windshield Survey Through a windshield and environmental analysis, we analyzed the environmental condition of the Jordan community, which enhanced our understanding of its positive features and the lacking areas where further improvements are required. Positive Features of Jordan Community: The small town has basic amenities where children and young adolescents can go to school, community dwellers can shop around, go to recreational places, and acquire healthcare services from hospitals. The community members were resilient and eager to tackle health issues collaboratively as they showed an amicable bond with the neighborhood. All members were willing to stand for a change that ensured a sound and healthy community. Areas for Improvements: The Jordan community lacked in certain areas that jeopardized their overall health and impacted their quality of life. The prevailing mental health issues among school students caused havoc as a student committed suicide. Moreover, the scarcity of maximum coverage of health insurance among community members and financial issues in procuring medication for managing chronic conditions were significant health challenges. These areas required intricate attention, which our change proposal is keenly addressing and has the potential to improve these lacking areas. Social Determinants Impacting Community Health Several social determinants of health impact community health, the major factors being education and economic instability. While several school institutions were established for the community’s growing kids and youth, the educational systems lacked health literacy, which impacted students’ mental health. Moreover, the economic instability in most of the population hindered them from acquiring essential health services as they could not get full health insurance coverage and needed to rely on self-financing for treatments. Additionally, the financial constraints burdened populations with chronic diseases who could not manage them as they could not purchase prescribed medications. These social determinants of health are adequately touched upon through our change proposal through appropriate resource allocation and support from local health advocates. Change Proposal Framework  Our change proposal was built on the following framework that could improve the lacking areas of the Jordan community where health was profoundly impacted. Conducting interaction-based mental health programs in schools to provide mental health support to affected students and manage their thinking patterns. Creating health insurance improvement plans where expanded access to Medicaid and Medicare services is advocated by community leaders and health advocates. Empowering the population to acquire health insurance coverage by enrolling into ACA’s policy for treatment care in patients with pre-existing and chronic health conditions. The goals and objectives include reduced suicide attempts among children and young adolescents, an increased population with complete health insurance coverage, and an enhanced number of community members with adequate knowledge of ACA policy for chronic diseases to improve their health outcomes. Rationale for Policy and Financial Support The Jordan community requires a comprehensive change proposal with its emerging health issues, including mental health, insufficient health insurance coverage, and poor management of chronic conditions. The accomplishment of proposed changes is possible with governmental policies and financial assistance from external sources to ensure positive and systemic changes are produced. The governmental Affordable Care Act (ACA) policy with expanded Medicaid and Medicare access to cover health insurance of community members is needed to address this health concern. Through this policy, a maximum number of community members with complete health insurance coverage will acquire adequate healthcare services when required and can have improved health outcomes. This will solve the problem of lack of health insurance among deserving community populations and promote equitable health access to all community members (Castle et al., 2023). Furthermore, the policy by ACA prohibiting insurance companies from denying health insurance coverage or charging high premium rates to patients with pre-existing conditions such as chronic diseases must be procured for Jordan’s community, as this can lead them to obtain health insurance without experiencing discrimination or relevant factors. By acquiring access to these facilities, the people of Jordan can manage their chronic conditions in terms of care treatments and

Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change

NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Planning for Community and Organizational Change This assessment focuses on the health challenges that the community of Jordan has been facing for a long time. In our previous assessment, we scrutinized Jordan’s community health. Jordan is a small town located in Minnesota. Through an intricate health analysis, several health challenges were observed, such as mental health problems leading to suicide among adolescents, worsening health insurance situation, and ill management of chronic diseases due to financial constraints. Therefore, this draft of the change proposal provides several strategies and measures to address these health challenges that the community of Jordan has to endure consistently. Summary Benefits and Implications To tackle the health challenges of the Jordan community, the proposed healthcare system changes can include the following strategies:  Interaction-Based Mental Health Programs in Schools: Establishing mental health programs within schools where counselors, psychologists, and social workers provide mental health support for students in collaboration with school authorities. In interaction-based interventions in mental health programs, adolescents and children can share their concerns, and mental health professionals can guide them to promote their emotional well-being. This change strategy aims to build resilience, coping skills, stress management, and emotional intelligence in young minds. This strategy will directly safeguard young students in school from suicidal thoughts, reducing suicide attempts (García-Carrión et al., 2019). Thus, overall health improvements will be evident as the young population of the community will have healthy minds and reduce parental stress due to these behaviors. Health Insurance Improvement Plan: Health insurance can be improved in the community of Jordan by collaborating with policymakers and advocacy teams to support policy changes in providing affordable health insurance to low-income populations. Moreover, advocating for Medicare and Medicaid expanded access in community individuals where health insurance is adequately granted to resource-deprived individuals. By expanding access to Medicaid and Medicare services in providing health insurance to deserving populations, the direct benefits will be on the population’s health as their health needs will be satisfied and fulfilled. Moreover, this will lead to a sustained healthy community where equitable care treatment is provided to low-income individuals (Martin et al., 2021). NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Managing Chronic Health Conditions: Promoting knowledge among the older community in gaining eligibility for Affordable Care Act policy on providing full health coverage for people with chronic diseases so they do not suffer from chronic health conditions like diabetes and hypertension due to financial constraints. This will directly benefit the older population in the community as they can enroll in health insurance coverage for the treatment and management of chronic health problems. Moreover, reduced mortality and morbidity rates fortifying community health will positively affect overall health (Myerson & Crawford, 2020). Through these proposed healthcare system changes, the health challenges can be adequately addressed, and improve the health condition of Jordan’s community members. These suggested strategies can potentially enhance the mental health of young kids at school, ameliorate health outcomes due to adequate health insurance, and better manage chronic health conditions in older groups leading to an overall improved and healthy community. Potential Barriers to Change Various potential barriers can prevail when the proposed healthcare system changes are employed in the community of Jordan. These barriers will hinder the successful accomplishment of proposed health strategies and must be considered while implementing these strategies. Some of these potential barriers are as follows: Mental Health Program Barriers: The social stigma on mental health and cultural attitudes and beliefs can impede the implementation of mental health programs. These mental health programs are considered inappropriate and cause resistance from parents, students, and school staff. This eventually refrains students to contact mental health specialists when there is a formal need for mental health support (Bracke et al., 2019). Moreover, the resource constraint can be a significant challenge to establishing mental health programs in schools requiring mental specialists’ expertise and equipment to convey mental health support through materials. NURS FPX 6218 Assessment 3 Planning for Community and Organizational Change Accessing Adequate Healthcare Insurance Barriers: To promote advocacy for demanding expanded access to health insurance, the possible barriers can include insufficient understanding of the health insurance process due to language barriers and low access to the internet for digital information on health insurance. Another significant potential barrier to obtaining access to health insurance is the need for more financial and human resources to promote advocacy for demanding enhanced access through governmental policies. Time constraints and resistance to change can be significant barriers to collaborating with policymakers and change authorities.  Chronic Health Management Barriers: There is a considerable likelihood of a need for more awareness among community members on ameliorating their health conditions through provided health benefits from governmental health policies due to various factors. For instance, social stigma to take external assistance can be challenging in persuading the population to acquire healthcare access for free treatment of chronic diseases. Moreover, the community members may resist change due to a lack of motivation to change their lifestyle, personal beliefs, and understanding. Community members may feel overwhelmed and resist change strategies as they must take valuable moves toward changing their health (Repovš et al., 2019).  Strategies for Changing Barriers into Opportunities and Resolving Conflict Changing the barriers mentioned above into opportunities requires implementing specific strategies that promise resolved conflicts. For this purpose, it is essential to understand the barriers keenly and brainstorm to tackle them with innovative and radical ideas. Addressing the barriers mentioned above, some strategies that can help turn them into opportunities are as follows: Educational Campaigns: The community groups advocating for mental health programs must initiate educational campaigns to address stigma, cultural attitudes, and beliefs. This can enhance cognizance of the significance of mental health programs and promote mental and emotional well-being (Schroeder et al., 2020).  Collaboration with External Organizations: To overcome the resource constraint barrier, the community authorities

Phillip October 5, 2023 No Comments

NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs

NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs Student Name Capella University NURS-FPX 6218 Leading the Future of Health Care Prof. Name Date Community Healthcare Needs Assessment This executive summary analyzes community health needs in Jordan, located in Minnesota. By conducting a virtual windshield survey, we explored different areas of this small town in Minnesota, including general conditions, public health needs, and environmental analysis.  This executive summary will provide a concise and structured analysis of the community health state in Jordan and the health needs that require further attention for the well-being of community health. Executive Summary General Condition and Public Health Needs  The virtual windshield tool identified various aspects of the City of Jordan, encompassing educational systems, libraries, health services, recreation centers, churches as sanctuary places, parks, residential areas, shopping plazas, and grocery stores. This showed that the city of Jordan was projected to thrive every day as it significantly supported education within the community by developing elementary and high schools. Moreover, the presence of St. Francis Health Services, merely a ten-minute drive away, in coordination with two of the most extensive health services, Fairview Hospital, and Clinics, being fifteen minutes away, covers the health needs of Jordan’s whole population while fulfilling safety concerns. Middle and high schools for growing kids were also seen in the City of Jordan, along with a library open to all students and citizens. Furthermore, the facilities of fire departments and police departments ensure that the population is effectively protected from any disastrous event that questions their security and safety. The city is beautified with recreational parks, lagoons, tourist areas, and shopping centers. As the town grows steadily, there is a continuous demand for more educational, healthcare, and public utility systems due to prospective population growth, as city staff expect. Due to the enhanced access to restaurants and dine-in areas, public health was vulnerable to various diseases such as obesity, diabetes, and cardiovascular problems. NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs The limitations of this survey included inadequate resources to conduct a thorough windshield analysis, time constraints, and the reluctance of community members to communicate openly due to safety concerns. Therefore, it requires further research through ancillary data to identify the critical aspects of health needs and available facilities to promote sustainable and continuous improvement in the community by planning its infrastructure, adequate resource allocation, and facilitating expanded services. Environmental Analysis  Social Determinants of Health Environmental factors, such as population, educational facilities, healthcare facilities, recreational facilities, and parks, impact population health, and the community’s overall well-being. In the case of Jordan, our windshield analysis revealed that Jordan was a small town with 7,000 native people, and its expanded growth was expected to rise by 150 individuals annually. Moreover, the City of Jordan had a robust educational system that the natives of Jordan could easily access and improve their knowledge of health and wellness through adequate education right from the beginning. With a prosperous educational system in the City of Jordan, health literacy among the community members is enhanced as almost 70% of ISD #717 graduates seek post-secondary education. This will result in better health of the overall community as the educated community population will adhere to healthy behaviors and habits (Nutbeam & Lloyd, 2020). Moreover, adequate access to various healthcare organizations also affects population health and increases life expectancy (Hao et al., 2020). Considering the existence of renowned hospitals in Jordan that are ten to fifteen minutes away ensures that health needs are timely and appropriately addressed and population health is improved. The prospective opportunities lie in enhancing Jordan’s infrastructure by utilizing 30 acres of available industrial park space. This can be used up to satisfy the community’s health needs for adequate delivery of health services and education (City of Jordan, Minnesota, 2015). Health-promoting environments such as parks and gyms, as social determinants of health, promote healthy habits through regular physical activity in the community population of Jordan (Wang et al., 2021).  NURS FPX 6218 Assessment 2 Assessing Community Health Care Needs Moreover, the recreational places in Jordan, such as Minnesota River Valley, with 25 miles of trails for hiking and other physical activities, positively impact the physical and mental health of the population. Moreover, adequate water and sewer services promote a hygienic, safe lifestyle and improve health (Morante-García et al., 2022). Churches present in the city of Jordan reflect the religious concerns of the community, which indirectly impact their spiritual and mental health of the community. The health issue identified in the community of Jordan is the steady growth of the population with limited health and educational amenities that pose a severe health issue to the community population. Lack of adequate transportation to commute within the community of Jordan poses a health threat in emergency cases where prompt care treatment is required. The underlying assumption includes that social determinants of health play a significant role in the overall health status of the community. Additionally, the uncertainty includes the lack of knowledge of the population’s socioeconomic status and social norms contributing to health behaviors.  Conclusion The survey findings for the community of Jordan reveal that the City of Jordan is a small but adequately nourished town in Minnesota. Basic facilities such as education, healthcare services, recreational parks, grocery store, plazas, and parks make it a fine stable community. However, the continuously growing population with limited resources for health and education poses several health issues to the community, requiring further opportunities to expand its services through enhanced infrastructure and sustainable management growth.  References  City of Jordan, Minnesota. (2015, November 30). Economic Development. .  Hao, L., Xu, X., Dupre, M. E., Guo, A., Zhang, X., Qiu, L., Zhao, Y., & Gu, D. (2020). Adequate access to healthcare and added life expectancy among older adults in China. BMC Geriatrics, 20(1).  Morante-García, W., Zapata-Boluda, R. M., García-González, J., Campuzano-Cuadrado, P., Calvillo, C., & Alarcón-Rodríguez, R. (2022). Influence of social determinants of health on COVID-19 infection in socially vulnerable groups. International

Phillip October 4, 2023 No Comments

NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision

NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date   Planning for a Change: A Leader’s Vision Hello! Everyone, this is Ross D. Hill. First of all, I would like to welcome you all to this presentation. In today’s presentation, we will explore nurse leaders’ critical role in promoting and sustaining a culture of quality and safety within the healthcare organization. We will explain the various aspects of a nurse leader’s role in developing, maintaining, and promoting a culture of quality and safety. The presentation will start with an overview of the importance of quality and safety within the healthcare system. The difficulties alignment organizations have in achieving these goals and examining the nursing leader’s role in promoting patient safety and quality by providing a variety of opportunities for the staff to learn and decrease the likelihood of errors. Objectives  To begin, we will provide a summary of the key aspects of the plan, and then we will explain the organizational functions, processes, and behaviors that affect the quality and safety of the organization. Following that, we will talk about the current outcome measures and the potential strengths and weaknesses associated with those measures. Then, we’ll be sharing the steps to achieve the outcome plan and the future vision of the organization. In the end, a conclusion will be provided. If you have any queries, please write them down; I’ll happily get back to you in the end.  Summarize the Key Aspects of a Plan Postoperative complications, medical errors, surgical site infections, increased readmissions, and decreased patient satisfaction resulted from the under-skilled team’s inadequate training and lax protocols (Purba et al., 2020), significantly affecting the patient’s quality and functionality, along with increasing resource consumption, as a result of the unsafe surgical care procedures in Alignment Healthcare. The adjustment of healthcare, which seeks to provide individualized care through in-office teams, health plan designs, and technology, places a premium on resolving these issues. Also, understanding the cause of the poor surgical procedure within the organization can help identify and eliminate the risk and provide better quality care to the patients. With the help of the gap analysis, factors including patient variety, surgical staff competence, the efficacy of preventive measures, and organizational protocols were identified.  Unsafe surgical care procedures were identified as a systemic problem within the organization that significantly contributed to negative quality and safety outcomes, necessitating a comprehensive plan premised on the assumption of standardizing surgical procedures through the introduction of preoperative care, interpersonal team collaboration, effective communication, and strict infection control procedures that can facilitate reducing postoperative complications. The plan was based on preoperative hygiene-based preparations, comprehensive learning, and simulation-based education to provide an all-in-one environment for the staff to learn and have hands-on training in reducing surgical risks. A study has highlighted that providing integrated learning to facilitate human learning, feedback loops, and timely iteration of the problem can help provide better clinical outcomes (Viswanath et al., 2019). NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision The plan is based on the Plan-Do-Study-Act (PDSA) framework, providing an improved integrated analysis of surgical care issues to manage outcomes measures and utilizing comprehensive learning to provide patient safety and quality improvement through training staff in infection control and preoperative planning. As a result, nurse managers may need to promote a culture of safety and quality through open dialogue, transformative leadership, and rigorous adherence to established procedures. The plan aims to provide a comprehensive and integrated approach to eliminate surgery-associated risks and enhance patient care.  Organizational Functions, Processes, and Behaviors Affecting Quality and Safety It is essential to identify the organizational function, processes, and behaviors to manage the quality and safety of the organization. Within the organizational functions, the need for more communication and interprofessional collaboration is one of the critical lagging aspects. The lack of communication and discussion of the case resulted in the unskilled professionals, inability to anticipate the infection rate or postoperative complications (Dencker et al., 2021). This lack of communication between the team leads to a lack of competence in assessing the risk of complications during and after the surgery, which affects the patient’s satisfaction with the hospital services while increasing the risk of readmission due to postoperative complications. Similarly, the organizational processes that we identified as impeding the organization’s quality and safety were the lack of hygiene protocol adherence, which impacts healthcare outcomes as these lax protocols lead to surgical site infections and also increase the risk of hospital-acquired infections. Moreover, the lack of accountability of healthcare professionals is one of the leading causes that affects how the professionals view their medical duties and how vigilant they professionals are during their practice. Similarly, the lack of preoperative hygiene management, such as the lack of commitment to cleaning, the use of alcohol-based antiseptics, and unsterilized tools further increases the risk of complications and the infection rate.  NURS FPX 6212 Assessment 4 Planning for Change: A Leader’s Vision Lax protocols and casual and unskilled staff are examples of behaviors that can affect the quality of care provided to patients and their safety. These behaviors have the potential to influence the staff’s attitude toward care and quality practices, which in turn could result in unsafe surgical procedures, a lack of accountability, and a lack of treatment options. However, there are a few areas of uncertainty that call for more effective involvement, such as the training of inter-professional teams. This lack of training leads to unskilled professionals. Medical literacy and education can help improve the professional skill set, improve the treatment evaluation process, and reduce further complications and risks. Similarly, other unknown factors include the leadership style that might work effectively, the role of the leaders in the safety enhancement and detailed information on the baseline data regarding why the organization has such lax protocols and other organizational factors that may have increased the risk of infection and a further

Phillip October 4, 2023 No Comments

NURS FPX 6212 Assessment 2 Executive Summary

NURS FPX 6212 Assessment 2 Executive Summary Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date Executive Summary  Healthcare-associated infections (HAIs), as identified earlier, are one of the adverse events occurring in healthcare organizations, resulting in poor outcomes in terms of quality of care and patient safety. The focus of this assessment is to provide a summary for the executives of the Vila Health organization, whereby HAIs have been identified and change strategies are proposed for improving the gap between current and desired outcomes.  The Key Quality and Safety Outcomes Measures Hospital-acquired infections (HAISs) refer to the illnesses that patients attain while they are admitted to any healthcare organization. These infections have several negative consequences such as increased length of stay, which comes along with financial burden for the patients as well as the organization. Additionally, escalated risks of morbidities and mortality are also observed in these patients (Stewart et al., 2021). These poor results advocate the need for measuring quality and safety outcomes related to HAIs in the organization, which are; the rate of infections, antibiotic resistance, rate of morbidities and mortality, patient safety indicators, and cost and resource utilization.  NURS FPX 6212 Assessment 2 Executive Summary Measuring the rate of infections helps the organization to track the number of infections per patient-days and per-procedure. This outcome measure helps in promoting infection control practices within the organization based on specific data and evidence (Izadi et al., 2021).  HAIs are associated with the dissemination of antibiotic-resistant bacteria which are harmful for the patients. Monitoring the data related to antibiotic resistance in patients is important to identify the cases earlier and improve medication prescribing practices.  Mortality and morbidity rates are important outcome measures as they help in analyzing the impact of the HAIs in the organization, thus, assisting in improving practices to reduce the rate of complications.  Patient safety indicators like assessing infections associated with central lines, urinary catheters, ventilators, and surgical sites are imperative to track patients’ safety. These indicators help to incorporate interventions specific to the type of infection to mitigate the risks and improve quality (Tokareva & Romano, 2023).  Monitoring the utilization of resources in terms of HAIs will provide opportunities for the healthcare organization to initiate cost-effective interventions to reduce the financial burden as indicated by the poor consequence of the HAIs.  The strengths of these outcome measures are that they provide objective data which can be tracked over time and profound comparisons can be done to analyze the trends. Moreover, the primary focus of these quantifiable measures is to prioritize patients’ safety and improve health outcomes. On the other hand, one of the limitations is underreporting of the adverse events which can lead to inaccuracy and unreliability of the data provided.  Strategic Value of Outcome Measures for an Organization  The measurement of aforementioned outcomes within the healthcare organization holds strategic value in terms of improving the quality of care and promoting a safety culture within the facility. It is necessary to measure these outcomes to provide value-based care where an improved environment is fostered and best practices are adopted to improve patient safety especially in terms of hospital-acquired infections (Pantaleon, 2019). These outcome measures help healthcare organizations to analyze the effectiveness of the care provided, and the efficiency of healthcare professionals, and identify patients’ experiences, which ultimately promote the culture of safety. Outcome measures such as infection rates, antibiotic resistance, and patient safety indicators impact patient care by promoting infection control and prevention measures. NURS FPX 6212 Assessment 2 Executive Summary They assist healthcare providers to bring significant improvements in their practices using evidence-based guidelines, simultaneously, helping to improve the quality of care (Hansen et al., 2018).  The targeted interventions developed based on these outcome measures can also improve the utilization of resources, shorten the length of hospital stays, and reduces the financial obligation on the patients as well as the organization. The actions taken in return for these outcome measures will cultivate a culture of quality improvement and patient safety within the organization by reducing the risk of HAIs. The existing outcome measures that have been used to evaluate the infection control practices for reducing HAIs can be utilized to monitor the trends and identify the specific areas of improvement so that research-based, valuable, and beneficial interventions can be brought within the organization to further improve value-based care.  The Relationship Between Systemic Problems and Quality and Safety Outcomes  Since healthcare-associated infections are common in healthcare facilities, it is essential to monitor these outcome measures to reduce the risks of infections and correlated complications. The outcome measures which are specifically related to the HAIs are monitoring infection rates, development of antibiotic-resistant infections, and assessing patient safety indicators. The monitoring of infection rates is related to the identification of prevalent HAIs within the hospital which will help in evaluating the effectiveness of current practices. Similarly, the development of antibiotic-resistant infections within hospital settings advocates the need to minimize the occurrence of HAIs. This outcome measure is related to the systemic problem and will help in improving medication practices by introducing antibiotic stewardship within the organization (Lakoh et al., 2020). Lastly, examining the patient safety indicators which are specific to the HAIs like assessment of central-line, urinary catheter, and surgical site infections provides information about areas of improvement. Reducing the rates of these indicators can show the effectiveness of the preventive measures and improves patients’ safety. Overall, these particular indicators are related to HAIs as they perform the roles of monitoring and evaluation tools whereby they can be used to improve infection control practices, reduce the prevalence of HAIs, improve the quality of care, and enhance patient safety.   Outcome Measures and Strategic Initiatives  The strategic plan of Vila Health organization in the light of healthcare-associated infections is focused on two aspects; improving healthcare practices and patient satisfaction levels. Vila Health emphasizes that healthcare workers should perform every action in the light of patients’ safety and must provide standardized quality of care.

Phillip October 4, 2023 No Comments

NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis

NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis Student Name Capella University NURS-FPX 6212 Health Care Quality and Safety Management Prof. Name Date Quality and Safety Gap Analysis – Hospital-Acquired Infections Healthcare organizations worldwide strive effortlessly to maintain the quality of healthcare according to the standards and improve patient safety within the organization. However, there are still various challenges that may arise during the healthcare practices. These challenges occur due to several adverse events taking place within the healthcare system. Hospital-acquired infections are such adverse events that impair the quality of care and impose negative impacts on patients’ safety. Hospital-acquired infections are recently found in Vila Health organization as well during the quality and safety assurance audit. Since the problem has evolved, administrators have called upon all nurse leaders to analyze the gap which is established between current and desired outcomes in terms of improving quality and safety.  Systemic Problems Related to Quality and Safety Outcomes  Hospital-acquired infections (HAI), as the name suggests, are infections encountered within healthcare settings. A study claims that these infections develop 48 hours later a patient is admitted to the hospital (Monegro et al., 2023). These infections are most commonly caused by inadequate care and malpractices by healthcare providers. According to the World Health Organization (WHO), 8.7% of patients admitted to hospitals encounter different types of HAIs, whereby, urinary tract infections are very common. HAIs result in poor consequences for the patients in terms of increasing their length of stay at the hospital, enhancing the risks of developing morbidities, adding financial burden to the hospital as well as the patients, and in serious cases, may lead to long-term complications and death (Stewart et al., 2021). These poor outcomes emphasize the need for addressing this problem within healthcare settings to ensure quality healthcare is provided by maintaining patient safety and improving health outcomes. Certain underlying assumptions that must be taken into consideration for addressing the problem are that change in healthcare organizations requires a collaborative approach whereby communication among stakeholders is essential. Moreover, it is assumed that healthcare providers should develop insight to bring successful changes in their practices.  Practice Changes to Improve the Quality and Safety Outcomes  To improve patient outcomes, quality, and safety, specifically addressing healthcare-associated infections, it is significant to propose practice changes within healthcare organizations. The strategy that should be used within healthcare organizations is TAP, which stands for Targeted Assessment for Prevention (TAP). This is established by the Centers for Disease Control and Prevention to improve quality in terms of HAIs. The strategy constitutes of three steps targeting the organizations, assessing the needs, and bringing prevention strategies (CDC, 2023). Several transformations which should be implemented in the organization on a priority basis to minimize the risks of HAIs are 1) proper utilization of personal protective equipment (PPE) which reduces the occupational risks of transmission of infections. Occupational risks mean infections that travel from the patients to the healthcare providers and vice versa (Alhumaid et al., 2021), 2) hands of healthcare workers are considered the foremost source of transmission of infections. Following the WHO’s established guidelines for hand hygiene which are; a) adequate hand rubbing in case of no visible contamination with alcohol-based hand rubs, b) following five moments of hand washing and c) and use of hand gloves while handling patients and their surroundings (WHO, n.d.), 3) it is claimed that contaminated surroundings and surfaces within hospitals are major sources of transmission of infections. Therefore, improving environmental hygiene is necessary to minimize the risks of HAIs in the patient population. NURS FPX 6212 Assessment 1 Quality and Safety Gap Analysis Environmental audits and quality assurance practices should be incorporated to ensure environmental hygiene within the organizations, and 4) training and educating healthcare professionals to integrate these changes within their practices is essential for continuous improvements. Weekly in-service training sessions for nurses, doctors, and nursing assistants will be beneficial to encourage staff to implement the practice changes, reduce healthcare-associated infections, and improve the quality of care and safety of patients.  This proposal is based on the assumption that infection control practices within a healthcare organization play a critical role in minimizing the risks of infections for patients. These practices are generally associated with improved hygiene, enhanced healthcare safety, and positive patient outcomes.  Prioritization of the Proposed Change Strategies  Although every proposed change strategy is essential for reducing the risk of HAIs, the hand hygiene practice and education of healthcare professionals should be prioritized. By effectively utilizing these guidelines, the organization can radically improve infection control practices and prevent hospital-acquired infections. The rationale behind prioritizing hand hygiene practices is that hands are considered to be the source of germ transmission. Moreover, CDC claims that proper utilization of hand hygiene techniques inhibits the transmission of antibiotic-resistant infections. Hence, prioritizing hand hygiene and constantly encouraging healthcare workers to practice the guidelines is vital for patients’ safety in terms of HAIs.  Quality and Safety Culture and its Evaluation   The suggested change strategies help in improving the quality of care and developing a safety culture for the patients by progressing healthcare practices. These improvements will be successful if inter-professional collaboration and communication are encouraged and a mindset of continuous improvement is developed. Preventing nosocomial infections improves the quality of care, reduces financial burden, decreases the length of stay, minimizes the chances of complications, and ultimately enhances patient satisfaction level and safety. It is significant to evaluate these quality and safety improvements. The evaluation metrics include: A continuous prevalence survey is important to analyze the data and identify the number of cases within the organization which will help in assessing the effectiveness of the strategies and bring further modifications, if necessary (Sun et al., 2021).  Measuring patient satisfaction levels to ensure the purpose of the change strategies is achieved, which is patient-centered and safe care. Patients who are satisfied with the care always report improvement in quality of life and this feedback helps organizations to further improve their practices (Baumbach et al., 2023).  Assessing staff

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